Malawi: Quality Management Collaborative Session

Friday, October 21, 2016

A fourth quality improvement collaborative session within the framework of the GIZ-supported Malawi-German Health Programme took place at the Sunbird Capital Hotel in Lilongwe from October 6-7, 2016. EPOS Deputy Managing Director Susanne Wessel-Ellermann participated in the event that reviewed best practice considerations and brought together more than 100 attendees.

EPOS is providing technical assistance in Malawi to implement the ‘Strengthening of Quality Management Structures in the Malawian Healthcare System with a Focus on Reproductive Health’ project. The project focusses on institutionalising a culture of quality within the health system in Mchinji, Dedza, Ntcheu and Balaka districts by building capacity and providing technical support to quality improvement (QI) leading structures and to QI teams.

The recent QI collaborative session in early October enabled various stakeholders to exchange on QI achievements, challenges and lessons learnt. Taking part in the event were representatives from the Ministry of Health (MoH), the South East Zone, the District Health Management Teams from the four targeted districts, coaches from the districts, team leaders and In-charges from hospital departments and health centres (HCs) as well as partners working in targeted districts on quality improvement.

Following opening remarks by Dr Paul Dielemans, EPOS Team Leader of the QM project, Dr. Ruth Hildebrandt, GIZ Team Leader of the Malawi German Health Programme, and Dr. Andrew Likaka, Head of the QM Unit at MoH, representatives of the project HCs and hospitals presented quality improvement achievements made over the previous six months.

Collaborative sessions, facilitated by representatives of the District Health Offices, focused on:

  • QI method applied to increase the % of pregnant women checked for blood pressure, weight and fetal heart rate during the 1st antenatal care (ANC) visit and the third trimester of pregnancy

  • QI method applied to increase the % of pregnant women tested for syphilis during the 1st ANC visit

  • QI method applied to increase the % of abortion cases done MVA/ EVAC within 24 hours + post MVA/ EVAC care done

  • QI method applied to reduce the number of birth asphyxia, NN sepsis and NNDs related

  • QI method applied to reduce client’s waiting time at ANC and outpatient department

  • Experience learned by the health facilities from the 3rd Quality Improvement Collaborative Session to improve on clinical outcomes

  • Other clinical outcomes addressed by QI teams

  • Improvement is possible and it can be maintained: What are lessons learnt?

  • Factors that can hamper improvement and its maintenance

  • Coaching processes, recommendations and way forward

All sessions were followed by discussions on experiences and lessons learnt among all participants.